MRS. CHELSEA LEE MCNUTT (NPI# 1629482161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629482161 |
Entity Type | Individual |
Full Name | MRS. CHELSEA LEE MCNUTT |
Other Name | MISS CHELSEA LEE MORTIMER |
Credential | PA-C |
Practice Address |
145 Hospital Ave Suite 215 Du Bois PA 15801-1462 |
Mailing Address |
100 Hospital Ave Du Bois PA 15801-1440 |
Practice Telephone | 8143751717 |
Practice Fax Number | 8143754422 |
Mailing Telephone | 8143754200 |
Mailing Fax Number | 8143754232 |
Enumeration Date | 2014-06-12 |
Last Update Date | 2016-11-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
OA003299 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
145 HOSPITAL AVE SUITE 215 |
City | DU BOIS |
State | PA |
Zip Code | 15801-1462 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780688366 | Michael M Hall | Family Medicine | 145 Hospital Ave, Ste 104, Du Bois, PA 15801-1463 | 2005-06-10 |
1710518279 | Kaitlyn Marie Eckelberry | Physician Assistant | 145 Hospital Ave, Du Bois, PA 15801-1462 | 2020-02-03 |
1912546193 | Jamie Sue Miller | Registered Nurse | 145 Hospital Ave, Du Bois, PA 15801-1462 | 2020-01-05 |
1780125062 | Dubois Regional Medical Center | Clinical Neuropsychologist | 145 Hospital Ave, Suite 312, Du Bois, PA 15801-1462 | 2017-03-20 |
1215470679 | Melissa Allio | Nurse Practitioner | 145 Hospital Ave, Suite 315, Du Bois, PA 15801-1462 | 2016-12-02 |
1740645480 | Michele Harris | Nurse Practitioner | 145 Hospital Ave, Suite 212, Du Bois, PA 15801-1462 | 2015-12-23 |
1861868143 | Dubois Regional Medical Center - Penn Highlands Dubois Medical Arts | Surgery | 145 Hospital Ave, Du Bois, PA 15801-1462 | 2015-08-20 |
1841675469 | Dubois Regional Medical Center - Penn Highlands Family Medicine | Internal Medicine | 145 Hospital Ave, Suite 205, Du Bois, PA 15801-1462 | 2015-07-24 |
1205211265 | Cierra Sechman | Physician Assistant | 145 Hospital Ave, Suite 300, Du Bois, PA 15801-1462 | 2015-07-20 |
1912303223 | University Orthopedics Center, Ltd | Durable Medical Equipment & Medical Supplies | 145 Hospital Ave, Suite 311, Du Bois, PA 15801-1462 | 2014-11-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
Find all providers in zip 15801 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710470224 | Marissa Zocco | Physician Assistant | 145 Hospital Ave Ste 204, Du Bois, PA 15801-1464 | 2018-06-08 |
1396112926 | Conda Joseph Weimer | Physician Assistant | 655 E Dubois Ave, Du Bois, PA 15801-3605 | 2015-08-31 |
1477756286 | Dorothy Miriam Brager | Physician Assistant | Clearfield Jefferson Community Mental Health Center Inc, 100 Caldwell Dr., Du Bois, PA 15801 | 2007-06-08 |
1942833538 | Kimberly Erin Miller | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-02-21 |
1215418470 | Michael Christopher Blose | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2018-08-27 |
1164915591 | Rebecca Ann Gongloff | Physician Assistant | 871 Beaver Dr, Du Bois, PA 15801-2511 | 2018-06-11 |
1194217778 | Sydney Marie Soberdash | Physician Assistant | 621 S Main St, Du Bois, PA 15801-1413 | 2018-05-31 |
1316467038 | Morgan Diane Miksich | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2017-06-23 |
1053714642 | Ashley Nicole Bertram | Physician Assistant | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2014-09-26 |
1700121258 | Margo Puhala | Physician Assistant | 33 Beaver Dr, Ste 1, Du Bois, PA 15801-2434 | 2012-12-10 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.